Gastroscopy is currently the most thorough, direct, convenient and fast way to examine stomach diseases, although in recent years there are ultrasound, nuclear magnetic and other examination methods appear, but are not as clear as gastroscopy, conducive to accurate diagnosis!
Although the completion may be discomfort, such as nausea, vomiting, mucosal rupture, etc., but as long as the regular hospital, this technology is very mature, will quickly discomfort will disappear! The following is my own compilation of information, I hope it will help you!
Most people back off when they hear that they need to do a gastroscopy. In fact, gastroscopy is very important, whether it is for diagnosis of diseases of the upper gastrointestinal tract or for health checkups. The life of the nation is becoming more and more stressful and the number of people suffering from gastrointestinal diseases and stomach cancer is increasing. Therefore, gastroscopy is worthy of further understanding by the public.
What is gastroscopy?
The full name of gastroscopy is “upper gastrointestinal endoscopy”, which is a long, thin tube with a diameter of 0.6-0.9 cm wrapped in black plastic with a light-guiding fiber, the front end of which is equipped with an endoscope that extends from the mouth into the subject’s esophagus → stomach → duodenum. If necessary, a clip can be inserted through a small hole in the gastroscope for pathological examination. The full examination takes about 3-10 minutes, and the time can be slightly increased if pathological examinations are done.
Gastrointestinal disease arrestor
Gastroscopy can clearly reveal diseases of the upper gastrointestinal tract, such as esophagitis, gastritis, esophageal ulcer, gastric ulcer, duodenal ulcer, gastric polyp, esophageal cancer or gastric cancer, and its diagnostic effect is very reliable. Therefore, people with lower abdominal discomfort for more than 7 days, black stools, previous peptic ulcers or family history of stomach cancer should undergo regular gastroscopy; and people over 40 years old should also undergo additional gastroscopy during their health checkup. However, if the gastroscopy cannot pass through the abnormal esophagus, or if the patient suffers from myocardial infarction or severe lung disease, or if the patient is completely unwilling to cooperate, he or she cannot be examined.
Is gastroscopy really that scary?
If you understand the procedure and prepare for it before and afterwards, you will no longer feel intimidated.
Pre-preparation
No food or water should be consumed for at least 8 hours before the examination. Food in the stomach can easily affect the physician’s diagnosis and can cause nausea and vomiting. In order to reduce throat discomfort, the medical staff will spray anesthetic on the throat 3 minutes before the examination.
Examination procedure
Change into loose clothing and lie on your left side with your legs slightly bent. When the gastroscope is inserted through the plastic device in the patient’s mouth, the patient should relax and follow the doctor’s instructions, swallowing slightly so that the gastroscope can pass smoothly through the throat into the esophagus. This is the more uncomfortable moment of the gastroscopy when you feel pain and want to vomit for a few seconds. When the physician is making a diagnosis, instead of swallowing, he or she should inhale through the nose and exhale slowly from the mouth to allow the examination to be completed smoothly. Some people may feel bloated and nauseous because air enters the stomach with the tube. If you feel pain or discomfort, gesture to the health care provider and do not grab the tube or make any noise.
Do not eat for 1 to 2 hours after the examination. If your throat does not feel uncomfortable, you may drink water first; if you do not choke, you may eat soft food first to avoid bleeding from the esophagus or stomach caused by rough food. Some people will have a short-lived sore throat and foreign body sensation, which can usually be recovered in 1 to 2 days.
A skilled physician can not only keep the patient from suffering, but also make a more accurate diagnosis. To paraphrase the advice that physicians often give to gastroscopists: give them 10 minutes for health and peace of mind. Indeed, undergoing a gastroscopy is not as scary as you might think, and it is well worth it.
I. Indications for gastroscopy
1, all suspected esophagus. Gastrointestinal and duodenal diseases that cannot be diagnosed by comprehensive examination (including X-ray examination).
2, pain behind the sternum. Burning sensation and difficulty in swallowing, suspected of esophageal disease.
3.Esophagus. Gastrointestinal and duodenal ulcers can be detected by gastroscopy, and their healing should be followed up to identify their benignity and malignancy.
4.Patients suspected of esophageal cancer and gastric cancer, gastroscopy can improve the accuracy of diagnosis, detect early history, and can be treated.
5.Gastroscopy can diagnose upper gastrointestinal polyps and bulging lesions and provide treatment.
6.Gastroscopy can determine the cause of upper gastrointestinal hemorrhage and provide treatment in emergency cases.
7.Chronic inflammation of the upper gastrointestinal tract needs to be diagnosed by gastroscopy; for chronic atrophic gastritis with intestinal epithelial hyperplasia or atypical hyperplasia, diagnosis and follow-up can be made by gastroscopy.
8, after gastric surgery cases found symptoms, can be found by gastroscopy lesions and follow-up.
9.Gastroscopy can also detect other rare diseases, and some of them can be treated by gastroscopy.
Possible complications
Rarely, except for the nausea and vomiting that often occur during the examination, a few patients may have complications such as throat injury, dislocation of the jaw joint, and general convulsions.
With the improvement of medical technology and gastroscopy process, gastroscopy is becoming less painful, more common and more acceptable. Since I operated gastroscopy, I have seen only a few cases of complications.
Third, the examination of patients note: 1.
1, the day before the examination, please eat easily digestible food for dinner, and do not eat after eight o’clock at night.
2, the morning of the examination, no food and water, no smoking.
3, the examination first spray anesthesia 2-3 times, you will feel numbness in the oropharynx, the tongue root becomes heavy, then take the left side lying position, loosen the collar and belt, remove the dentures (single dentures to remove, the whole mouth is not used), the dental pad into the mouth, please bite down. To avoid damage to the gastroscope and examination failure.
4.When inserting the tube, please breathe evenly, do not be nervous, after inserting the tongue, please make swallowing action, let the saliva flow naturally, do not swallow to avoid choking and coughing.
If you have severe abdominal pain, vomiting blood, black stool, etc., please come to the follow-up clinic urgently.
6.If you have fever or cough frequently on the day of examination, postpone the examination.
7, suffering from hypertension, heart disease, acute viral hepatitis, pregnant women, the elderly and frail should postpone the examination, in case of recent gastric bleeding, the doctor needs to depend on the condition and handle the family signature procedures before deciding to perform gastroscopy and related treatment.
8, patients with serious heart disease, esophageal obstruction, esophageal varices, aortic aneurysm and severe spinal deformity, psychiatric patients are contraindicated, and those with acute sore throat within the past week can wait until their condition improves before performing gastroscopy.
9.Patients older than 60 years old, for your safety, please ask your friends and relatives to accompany you.